HEALTH PARTNERSHIPS DIVISION
Award for Outstanding Dedication to Local
Public Health
This award recognizes individuals who have made a significant contribution to the promotion and implementation of local
public health in Minnesota.
SELECTION CRITERIA
The Award for Outstanding Dedication to Local Public Health was created to recognize locally elected officials who make a
significant contribution to promoting and implementing local public health in Minnesota. This award reflects the dedicated
spirit of elected officials whose significant contributions have defined community health services and local public health
today.
ELIGIBILITY
Persons eligible for this award include: Current or former elected officials, or appointed representatives to community
health boards or local boards of health.
INSTRUCTIONS
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Submit all nominations by the nomination deadline to:
MDH Health Partnerships Division, Public Health Practice Section: health.ophp@state.mn.us.
NOMINEE: CLICK HERE TO ENTER TEXT.
AWARD FOR OUTSTAN DIN G DEDICATION TO LOCA L PUBL IC HEAL TH
1 DATE
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2 YOUR INFORMATION
Name:
Title:
Organization:
Address:
Daytime Phone:
Email:
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3 NOMINEE
Name:
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Daytime Phone:
Email:
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HEALTH PARTNERSHIPS DIVISION
NOMINEE: CLICK HERE TO ENTER TEXT.
AWARD FOR OUTSTAN DIN G DEDICATION TO LOCA L PUBL IC HEAL TH
4 ELIGIBILITY
Check all that apply.
☐ Current/former locally elected official
☐ Appointed representative to community health board or local board of health
5 SELECTION CRITERIA
Please describe how the nominee meets the selection criteria for this award.
5A. PROVIDES/PROVIDED ONGOING SUPPORT TO LOCAL PUBLIC HEALTH ACTIVITIES
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5B. SERVES/SERVED AS A CHAMPION FOR A STRONG LOCAL PUBLIC HEALTH SYSTEM
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5C. SHOWS/SHOWED SIGNIFICANT LEADERSHIP AND ADVOCACY FOR POLICIES THAT STRENGTHEN LOCAL
PUBLIC HEALTH
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5D. PROMOTES/PROMOTED A STRONG GOVERNMENT PUBLIC HEALTH SYSTEM THROUGH:
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HELPING TO DEVELOP OR SUPPORT LAWS AND ORDINANCES WHICH EFFECTIVELY PROTECT AND PROMOTE
THE HEALTH OF THE PUBLIC
SUPPORTING FUNDING FOR STATE AND LOCAL PUBLIC HEALTH ACTIVITIES
ADVOCATING FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES AT HIGH RISK FOR PUBLIC HEALTH
PROBLEMS
PROMOTING COMMUNITY SUPPORT FOR PUBLIC HEALTH AT THE LOCAL LEVEL
SHOWING LEADERSHIP IN STATEWIDE COMMITTEES, TASK FORCES, ETC. WHICH ADDRESS PUBLIC HEALTH
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